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The treatment of heel pressure ulcer represents one od the difficulties in treatment of pressure ulcer, because of its pressure load conditional on the calcaneus, the missing of muscle buffer and the huge number of tender insertions. With the V.A.C.-Therapy based upon interdisciplinary pretreatment (debridement, control of infection, circulation and metabolism and pressure relief) the growth of granulation tissure succeeds in a very fast time. The new V.A.C.-GranuFoam Heel Dressing contains the possibility to apply the V.A.C.-Therapy safe and very quick, in spite of the difficult ulcer location at the heel. Moreover it includes the necessary transfer of the T.R.A.C-Pad on the top of the foot to prevent new increase of pressure.